| NPI | 1417453440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL KILGORE President 423-302-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant Surgical | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-03-29 |